EP3582699A1 - Garrot à manchon élastique - Google Patents
Garrot à manchon élastiqueInfo
- Publication number
- EP3582699A1 EP3582699A1 EP18704259.3A EP18704259A EP3582699A1 EP 3582699 A1 EP3582699 A1 EP 3582699A1 EP 18704259 A EP18704259 A EP 18704259A EP 3582699 A1 EP3582699 A1 EP 3582699A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- tourniquet
- support
- elastic sleeve
- gripping
- driving
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 239000004753 textile Substances 0.000 claims description 54
- 230000006835 compression Effects 0.000 claims description 10
- 238000007906 compression Methods 0.000 claims description 10
- 239000000463 material Substances 0.000 claims description 10
- 238000006073 displacement reaction Methods 0.000 claims description 4
- 210000004204 blood vessel Anatomy 0.000 abstract description 7
- 230000008602 contraction Effects 0.000 abstract 1
- 210000003414 extremity Anatomy 0.000 description 20
- 239000004952 Polyamide Substances 0.000 description 6
- 230000000694 effects Effects 0.000 description 6
- 229920002647 polyamide Polymers 0.000 description 6
- 210000002414 leg Anatomy 0.000 description 5
- 239000004033 plastic Substances 0.000 description 5
- 229920003023 plastic Polymers 0.000 description 5
- 239000005871 repellent Substances 0.000 description 5
- 210000000245 forearm Anatomy 0.000 description 4
- 238000007789 sealing Methods 0.000 description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 3
- 229920001468 Cordura Polymers 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 239000011324 bead Substances 0.000 description 2
- 230000000295 complement effect Effects 0.000 description 2
- 210000002683 foot Anatomy 0.000 description 2
- 210000003141 lower extremity Anatomy 0.000 description 2
- 229920000728 polyester Polymers 0.000 description 2
- 230000002940 repellent Effects 0.000 description 2
- 210000001364 upper extremity Anatomy 0.000 description 2
- 210000000689 upper leg Anatomy 0.000 description 2
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 201000004624 Dermatitis Diseases 0.000 description 1
- 206010020751 Hypersensitivity Diseases 0.000 description 1
- 229920000271 Kevlar® Polymers 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- 229920002334 Spandex Polymers 0.000 description 1
- 230000007815 allergy Effects 0.000 description 1
- 239000004760 aramid Substances 0.000 description 1
- 229920006231 aramid fiber Polymers 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 230000001186 cumulative effect Effects 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000009970 fire resistant effect Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 239000004761 kevlar Substances 0.000 description 1
- 229920003366 poly(p-phenylene terephthalamide) Polymers 0.000 description 1
- -1 polypropylene Polymers 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 230000003449 preventive effect Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 238000013040 rubber vulcanization Methods 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/132—Tourniquets
- A61B17/1322—Tourniquets comprising a flexible encircling member
Definitions
- the present invention relates to a tourniquet.
- a tourniquet is a device intended to interrupt the flow of blood in an upper limb (forearm, forearm, hand) or lower limb (thigh, leg, foot) - by compressing the limb's blood vessels with an element positioned around it of the member.
- a tourniquet with a clamping strap and a gripping bar is known from the state of the art.
- the strap surrounds a knuckle member, and the gripping bar is connected to the strap so that a rotation of the clamping bar on itself has the effect of tightening the strap against the member, which has to compress the blood vessels.
- a tourniquet tourniquet has the major disadvantage of not being easy to use with one hand.
- tourniquet tourniquet requires some force to tighten the strap enough to stop bleeding.
- a person injured in front can not always develop such a force.
- the strap can be excessively tightened around the arm when the gripping bar is turned on itself too high a number of rotations, and it is not easy to detect such excessive tightening. Excessive tightening is likely to cause tissue damage in the strapped limb.
- An object of the invention is to provide a tourniquet insensitive to altitude variations that a wounded person can self-apply easily and very quickly.
- An elastic sleeve capable of being held in a position stretched around the support, the support preventing a retraction of the elastic sleeve
- a movable gripping element relative to the support
- a drive member adapted to drive the elastic sleeve, when the gripping member is manually moved relative to the support, from its stretched position about the support to a groove position in which the elastic sleeve surrounds a second portion of the member , adjacent to the first part of the member but not surrounded by the support, so that the elastic sleeve can retract by springback, and thus compress the second part of the member.
- the support prevents the elastic sleeve from retracting. It is therefore possible to pre-position the tourniquet on a limb of a person for preventive purposes, without the elastic sleeve compressing this limb, and for future use.
- this tourniquet is thus very simple to trigger, especially by and on a wearer of the withers.
- the proposed tourniquet is not sensitive to variations in altitude as is the case for existing tourniquets of the pneumatic type.
- the tourniquet according to the present invention may also include the following optional features, taken alone or in combination when technically possible.
- the training element may comprise a first portion and be adapted to adopt:
- the gripping element is arranged with respect to the first portion so that a displacement of the gripping element relative to the support causes the first portion of the driving element to tilt from the folded configuration to the deployed configuration, so as to move, by leverage, the elastic sleeve from the stretched position to the groove position.
- the first portion may be suitable for:
- the first portion may further be adapted to assume an annular shape extending about an axis in the deployed configuration, and is made of a non-expandable material parallel to the axis.
- the drive member may include a second portion extending the first portion.
- the second portion in the folded configuration, is folded over the first portion so as to form, between the first and the second portion of the drive element, a cavity for accommodating the elastic sleeve held in the stretched position.
- the tourniquet may comprise means for locking the second portion of the driving element in the configuration folded over the first portion of the driving element.
- the locking means may comprise:
- the orifices may be arranged relative to each other so that a portion of the cord extending from one of the orifices to the other orifice forms a stop preventing the elastic sleeve housed in the cavity to exit. of the cavity.
- the drive member may comprise a third portion which extends the second portion and which is further attached to the gripping member, the second portion then extending between the elastic sleeve and the third portion in the folded configuration.
- the movement of the gripping member causing the drive member to drive the elastic sleeve from the stretched position about the resilient sleeve to the tear-off position may be a displacement caused by manual pulling on the puller. gripping element along the limb.
- the gripping member may comprise a securing member adapted to removably attach the gripping member to a garment while the elastic sleeve is held around the support in its extended position, and the gripping member to be attached to the gripping member.
- driving member for preventing, when the gripping element is attached to the garment, driving, by the driving member, the elastic sleeve from its stretched position around the carrier to its tearing position.
- the fixing element is for example suitable to form, with another fastener, a velvet-hook connection.
- the securing member may be adapted to secure the gripping member to a portion of garment surrounding a third portion of the limb when the support surrounds the first portion of the limb, the second and third portions of the limb being located on both sides of the limb. other of the first part of the member.
- the gripping element may comprise a flap movable relative to the driving element between:
- the support may have an inner surface adapted to be oriented towards the first part of the limb, and an outer surface opposite to the inner surface, and the tourniquet may furthermore comprise: An inner textile element covering the inner surface, and / or
- An outer textile element covering the outer surface.
- the two textile elements may together define a pocket for containing the support, the pocket being provided with an opening through which the support is removable from the pocket.
- the tourniquet may also include means for closing the opening of the pocket, such as a zipper.
- At least one of the textile elements may be formed from a strip having two opposite free edges brought back to one another without overlapping them, and sewn together with one another an overstitching.
- the band may have a parallelogram shape.
- the elastic sleeve may have at rest an annular shape extending about an axis, and comprise at least one elastic compression wire arranged to follow a substantially helical path around and along the axis.
- a garment or part of clothing such as a sleeve or a pant leg, comprising at least one tourniquet according to the foregoing description.
- FIG. 1 is a side perspective view of a support forming part of a tourniquet, according to one embodiment.
- Figures 2 to 5 are views showing top view or side perspective two textile elements also forming part of a tourniquet, according to one embodiment.
- Figure 6 is a side perspective view of an elastic sleeve forming part of a tourniquet, according to one embodiment.
- Figures 7 to 9 are top and side views of a drive member portion of a tourniquet, according to one embodiment.
- Figures 10 and 11 are top and bottom views of a grip member forming part of a tourniquet, according to one embodiment.
- Figure 12 is a side perspective view of a tourniquet according to a first embodiment, comprising the elements shown in the preceding figures.
- Figure 13 is a partial longitudinal sectional view of the tourniquet shown in Figure 12.
- FIG. 14 is a longitudinal sectional view of the tourniquet shown in FIG. 12, in a folded configuration.
- Figures 15 and 16 are two plan views of a support member forming part of a tourniquet according to a second embodiment.
- a tourniquet 1 comprising a support 2, an elastic sleeve 4, a driving element 6, and a gripping element 8 movable relative to the support 2.
- the support 2 is adapted to surround an upper limb (arm, forearm, hand) or lower limb (thigh, leg, foot) of a wearer.
- the support 2 comprises or consists of a plastic tube (such as polypropylene), or carbon.
- the support is generally made of a material preventing retraction of the elastic sleeve 4, which will be described later.
- the support 2 may have a cylindrical shape and / or revolution.
- the plastic tube may have a more complex shape, substantially complementary to a naked limb or limb surrounded by a garment.
- the support 2 has an inner surface 10 intended to be oriented towards a member of the wearer, and an outer surface 12 opposite to the inner surface, a first edge 14 and a second edge 16 opposite the first edge 14, the two edges 14, 16 each connecting the inner surface 10 to the outer surface 12.
- the rigid support 2 has an internal diameter of 1 18 millimeters (+/- 1 mm), and has a radial thickness of 3 millimeters (+/- 0.2 millimeters) measured between its inner surface 10 and its outer surface 12, and has a width, measured between the two edges 14 and 16, of 40 millimeters (+/- 0.1 millimeters).
- the tourniquet 1 furthermore comprises an inner textile element 18 and an outer textile element 20.
- the inner textile element 1 8 is intended to cover the inner surface 10 of the rigid support 2. In this way, the rigid support 2 can not come into direct contact with the skin of the limb. In particular, when the rigid support 2 is made of plastic, this plastic is likely to cause skin allergies; the inner textile element 18 allows in this case to avoid such allergies.
- the inner textile element 18 is made from a first web of material 22 preferably having a parallelogram shape.
- the two opposite large sides 24, 26 of the first band 22 are, for example, each 370 millimeters long, and the two opposite small sides 28, 30 of the first band 22 are, for example, each 37 millimeters long.
- the inner textile element 18 has for example a thickness of 1 to 2 millimeters.
- the two short sides 28, 30 are connected to each other without overlapping, by means of a topstitching 32.
- a topstitching 32 has the advantage of being particularly comfortable for the wearer of the tourniquet 1, because does not create extra thickness.
- the parallelogram shape of the band 22 makes it possible to apply a stitching 32 of greater length than if the band had been of rectangular shape, which makes this connection comparatively stronger.
- the inner textile element 18 has an annular shape, as can be seen in FIG.
- the inner textile element 18 is ideally made of polyethersulphone (PES), non-fire-resistant water repellent, or of water-repellent polyamide (PA) of the cordura 100% type or other type with non-fire treatment. It also has a weight of 120 to 450 g / m 2 .
- the inner textile member 18 further preferably comprises a linen, twill or other type of weave.
- outer textile element 20 is intended to cover the outer surface 12 of the rigid support 2.
- the outer textile element 20 is made from a second strip of material 34, preferably of parallelepiped shape.
- the two opposite large sides 38, 40 of the second strip 34 are each 370 millimeters long and the two opposite small sides 40, 42 of the second strip 34 are, for example, each 35 millimeters long.
- the outer textile element 20 has a thickness of 1 to 2 millimeters.
- the two small sides 40, 42 of the second band 34 are connected to each other without overlapping, by means of an overstitching. This has the advantage of avoiding any undesirable oversize.
- the outer textile element 20 is preferably rigid (in a warp direction and a weft direction).
- the outer textile element 20 may be made of a material identical to the material of the inner textile element 18.
- the outer textile element 20 may be made based on polyurethane and polyethersulphone (PES) or polyamic (PA), or an eraser obtained by rubber vulcanization. All the other properties stated above for the inner textile element 18 (weight, water repellency, armor type) are also applicable to the outer textile element 20.
- At least one of the textile elements 18, 20 may have on one of its two faces, anti-slip son (not shown in the figures), this face being intended to rest against one of the inner surfaces 10 or outer 12 of the support 2, as the case may be.
- anti-slip son With these anti-slip son, a rotation of the support 2 relative to the textile element comprising such anti-slip son can be prevented. Such rotation is undesirable when the support has a shape that is not revolution, because would be likely to hinder the wearer of the tourniquet 1.
- the elastic sleeve 4 is intended to be positioned around a limb in a stretched state, and to retract, by springback, to the blood vessels of the limb, so as to interrupt a hemorrhage.
- the elastic sleeve 4 is made for example from an elastic band closed on itself so as to take, at rest, a tube shape.
- the elastic sleeve 4 is capable of being stretched radially, that is to say that its diameter can be increased.
- the elastic band from which the elastic sleeve 4 is formed makes, at rest, 20 centimeters in length and 10 centimeters in width. Its weight is preferably between 15 to 25 grams.
- the elastic sleeve 4 comprises a knit 46, for example consisting of a dressing thread.
- the dressing thread is for example polyamide.
- the elastic sleeve 4 furthermore comprises at least one elastic compression yarn 48.
- the elastic compression yarn 48 is interwoven with the knit 46 so as to follow a substantially helical path around the axis of the tube formed by the elastic sleeve 4.
- a Advantage of such a form of elastic compression wire is that, even if it is broken while the elastic sleeve 4 is in a radially stretched state, it can still retract, by springback, to its retracted configuration, in a relatively uniform way. Indeed, the rupture of the compression wire gives rise to two or more disjoint helical portions, each portion remaining retractable.
- the elastic compression thread 48 comprises, for example, 20 to 40% elastane and 80 to 60% polyamide.
- the drive element 6 has the function of driving the elastic sleeve 4, when the gripping element 8 is moved manually relative to the support 2, from a position stretched around the support 2 to a position of tourniquet wherein the elastic sleeve 4 surrounds a second portion of the member adjacent to the first part of the member but not surrounded by the support 2, so that the elastic sleeve 4 can retract by springback, and thus compress the second part of the member.
- the drive element 6 of the tourniquet 1 is made from a band 50, hereinafter referred to as a "training band", to distinguish it from the bands from which the textile elements are made. internal 18 and outer 20.
- the drive band 50 comprises:
- the drive belt 50 for example rectangular, has a length, measured parallel to the warp direction C, of 35 centimeters, and a width measured parallel to the weft direction T, of 25 centimeters.
- the drive belt 50 is ideally made in a 2/1 Z twill fabric, possibly in taffeta or any other type of yarn cross. Preferably, its weight is between 90 and 380 g / m 2 .
- the drive belt 50 is extensible parallel to the weft direction T (i.e., the first edge 56 and the second edge 58 can be moved away from each other), but not extensible in the direction of the warp direction C (i.e., the third edge 60 and the fourth edge 62 can not be moved away from each other).
- the drive belt 50 comprises 2 to 8% delastane and 98 to 92% of water-repellent cordura type polyamide with non-fire treatment or non-fire water repellent polyester.
- the drive belt 50 is made of aramid fibers, such as poly (p-phenyleneterephthalamide) (PPD-T) (known under the trade name Kevlar), a material that is advantageous for its strength, or in natural fibers , such as linen.
- the edges 56, 58 of the drive belt 50 are positioned facing one another without overlapping, and are connected to each other at the same time. by means of an overstitching.
- the driving element 6 thus has an annular shape having a diameter of about 17 cm (+/- 0.5 cm), as represented in FIG. 9.
- the chain direction C is parallel to an axis about which the driving element 6 extends in its annular configuration.
- the driving element 6 is not extensible parallel to this axis.
- the term "deployed configuration” is the configuration of the driving element 6 in which it has such an annular shape; the driving element 6 can be deformed so as to adopt other configurations. Indeed, since the drive belt 50 is extensible parallel to the weft direction T, the annular drive element 6 can be hemmed on itself one or more times around its axis, as will be seen later. .
- the gripping member 8 comprises a flap 64, for example substantially rectangular.
- the flap 64 has two opposite surfaces 66, 68 (one being visible in Figure 10 and the other in Figure 1 1).
- the flap 64 has for example a length of 1 cm and a width of 4 cm.
- the flap 64 is preferably made of a soft plastic material laminated textile, or a lacquered textile material or coated double-sided. Very preferably, the flap 64 is a water-repellent non-fire article made of 100% polyester.
- the gripping element 8 comprises on one of its two faces, a fastening element 70 adapted to be removably attached to a garment.
- the fastening element 70 is a velvet band or hooks intended to form, with a complementary fastening element attached to the garment, a velvet-hook connection.
- the fixing element 70 is for example rectangular and is for example 1 cm wide and 9 cm long.
- the two textile elements 18 and 20, the support 2, the elastic sleeve 4, the driving element 6 and the gripping element 8 are assembled in the following manner to form the withers. 1.
- the textile elements 18 and 20, the support 2, the elastic sleeve 4 and the driving element 6 are arranged coaxially about an axis X.
- the driving element 6 successively comprises, from the edge 60 to the edge 62 opposite it: a first portion 72, a second portion 74, and a third portion 76.
- first portion 72 comprises a first plurality of orifices 78
- second portion 74 comprises a second plurality of orifices 80
- third portion 76 comprises a third plurality of orifices 82.
- Each orifice 78, 80, 82 opens into the two opposite surfaces 52, 54 of the driving element 6.
- each plurality of orifices 78, 80, 82 are distributed around the axis X of the driving element 6 when the one is in its deployed configuration, in which it has an annular shape.
- the three pluralities of orifices 78, 80, 82 extend in respective parallel planes, spaced apart from one another along the axis of the driving element 6. It will be seen in the following that a cord 86 is intended to be passed through the orifices 78, 80, 82.
- at least one orifices 78, 80, 82 are provided with an eyelet.
- the outer textile element 20 is positioned around the inner textile element 18. They are fixed relative to each other by means of seams 74. An annular pocket is thus formed between the two textile elements 18, 20.
- the first portion 72 of the driving element 6 is sandwiched between the two textile elements 18 and 20; the first portion 72 and the two textile elements, thus superimposed, are sewn together using seams 74.
- the support 2 is inserted into the pocket formed between the two internal and external textile elements.
- the annular pocket has an annular opening allowing the withdrawal of the support housed in the pocket, or the insertion of a support into the pocket when it is empty. It is thus possible to replace a support 2 used, damaged or inappropriately shaped by another support 2.
- the annular opening of the pocket is opposite the edge 60 of the driving element 6 relative to the support 2 housed in the pocket.
- the tourniquet 1 comprises closure means 79 for sealing the opening of the pocket, such as a zipper.
- closure means 79 for sealing the opening of the pocket, such as a zipper.
- the opening of the bag is closed by means of shutter means 79.
- the outer textile element 20 does not completely cover the inner textile element 18.
- the inner textile element has a width, measured parallel to the X axis, greater than the width of the outer textile element , so that a portion extremale of the inner textile element is not covered by the outer textile element 20.
- the sealing means are arranged opposite this end portion uncovered. Once inserted into the pocket, the support 2 is thus between, on the one hand, the sealing means and the outer textile element 20, and on the other hand the inner textile element 18.
- the gripping element 8 is fixed to the driving element 6 at its edge 62. More specifically, the flap 64 is sewn on the surface 54 of the driving element 6, in its third position. portion 76.
- the driving element 6 when the driving element 6 is in its deployed configuration in which it has an annular shape, the driving element 6 extends between the support 2 and the gripping element 8. Moreover, in this the same configuration, the surface 54 is oriented radially outward, and the opposite surface 52 facing inwardly of the drive member 6 of annular shape.
- the driving element 6 then undergoes the following deformations, made possible by its extensible character in the T-frame direction.
- the driving element 6 is hemmed on itself 180 degrees by deformation of the drive band 50 radially outwardly, so that the first portion 72 is folded around the support 2 (thus against the element external textile 20 surrounding the support 2).
- the elastic sleeve 4 is positioned around the support 2 in a stretched state.
- the elastic sleeve 4 is positioned around and against the surface 52 of the first portion 72 of the driving element 6 folded around the support 2.
- the elastic sleeve 4 has, at rest, a smaller diameter than the outer diameter of the first portion 72 of the driving element 6 folded around the support 2, so that the sleeve is in a stretched state when is positioned around the first portion 72.
- the driving element 6 is then again hemmed on itself a second time at the junction between the first portion 72 and the second portion 74.
- the second portion 74 is folded 180 degrees around the first portion 72, by deformation of the drive band 50 radially outwardly, so that the second portion 74 covers the elastic sleeve 4 stretched around the first portion 72.
- the elastic sleeve 4 is thus protected against attacks outside the tourniquet 1 (caused for example by projectiles or bad weather).
- the second portion 74 is folded around the first portion 72 so that at least one orifice 80 formed in the second portion 74 is opposite an orifice 78 formed in the first portion 72.
- At least one pair of orifices 78, 80 is arranged so that the elastic sleeve 4 housed in the cavity 84 is located between the two orifices and the bottom of the cavity 84 formed by the junction between the first portion 72 and the second portion. 74 of the driving element 6.
- the driving element 6 is then again hemmed on itself a third time, at the junction between the second portion 74 and the third portion 76.
- the third portion 76 is folded 180 degrees radially outwardly around the second portion 74, by deformation of the drive band 50, so as to form an additional layer of protection of the elastic sleeve 4 housed in the cavity 84.
- the third portion 76 is folded around the second portion 74 so that at least one orifice 82 formed in the third portion 76 is opposite an orifice 80 formed in the second portion 74.
- the third portion 76 is folded around the second portion 74 so that at least one orifice 82 formed in the third portion 76, at least one orifice 80 formed in the second portion 74, and an orifice 78 formed in the second portion 74.
- first portion 72 are all three aligned.
- the tourniquet 1 further comprises a cord 86 having a gripping end portion, for example comprising a loop in which a finger can be passed.
- the cord 86 is passed through at least one of the orifices formed in the first portion 72, through at least one of the orifices formed in the second portion 74, or even through at least one of the orifices formed in the third portion 76. It is Moreover, the gripping end of the cord 86 is accessible from outside the tourniquet 1, so that it can be grasped and pulled by a user.
- the orifices 78, 80 and the cord 86 thus form locking means for the second portion 74 of the driving element 6 in its configuration folded over the first portion 72 of the driving element 6.
- the orifices 80, 82 and the cord 86 also form locking means for the third portion 76 of the driving element 6 in its configuration folded over the second portion 74 of the driving element 6. It is Note that Figure 14 is not at the same scale as Figure 12.
- the portion 76 shown in Figure 14 has a length at least equal to the cumulative length of the portions 72 and 74.
- the cord 86 is passed through at least one pair of orifices 78, 80 respectively formed in the first portion 72 and the second portion 74 so that the elastic sleeve 4 housed in the cavity 84 is between the two orifices and the bottom of the cavity 84.
- the portion of the cord 86 extending from one of these two orifices 78, 80 to the other orifice 78, 80 then forms a stop preventing the elastic sleeve 4 housed in the cavity 84 of get out.
- the cord 86 not only has the effect of preventing a deployment of the driving element 6 towards its deployed configuration shown in FIG. 12, but also of having the effect of preventing an unexpected exit of the elastic sleeve 4 from the cavity 84 even when the second portion 74 is folded around the first portion 72 of the driving element 6, as illustrated in FIG.
- the assembly of the different parts of the tourniquet 1 is then completed.
- the tourniquet 1 is at this stage ready to be attached to a garment. Pre-installation of tourniquet 1 on a garment
- the tourniquet 1 is positioned on a garment, or part of clothing, so that the support 2 surrounds a garment part intended to wrap a limb: this part is for example a sleeve or a pant leg.
- the inner textile element 18 rests against an outer surface of this part of clothing, or is sewn with it.
- the inner textile element 18 of the withers 1 is itself part of the garment part.
- the garment portion comprises three successive portions: a proximal portion (in the case of a sleeve, intended to be close to a shoulder), an intermediate portion extending the proximal portion, and a distal portion (in the case of a sleeve, intended to be closer to a hand) extending the intermediate portion.
- the tourniquet 1 is positioned so that the support 2 extends around the intermediate portion of the garment portion.
- the proximal portion and the distal portion of the garment portion are not covered by the support 2, but are located on either side of it.
- the sleeve comprises, on the outer surface of its proximal portion, a second fastening element adapted to cooperate with the fastening element 70 of the gripping element 8 of the tourniquet 1.
- the second fastening element is for example a hook tape when the fastening element 70 is a velvet band, or vice versa.
- the gripping member 8 of the tourniquet 1 overhangs the outer surface of the proximal portion of the garment portion.
- the two fixing elements are positioned against each other, forming together for example a velvet-hook type connection.
- a user can then coat the garment comprising the part of clothing around which the tourniquet 1 has thus been pre-positioned.
- the sleeve surrounds an arm of that user.
- the proximal portion of the sleeve surrounds a proximal portion of an arm
- the intermediate portion surrounds an intermediate portion of the arm
- the distal portion surrounds a distal portion of the arm.
- tourniquets can be pre-positioned on the same garment, for example four (two for the arms and two for the legs).
- the wearer of the tourniquet suffers such a wound that the blood vessels of the distal portion of his arm must be compressed by crotch.
- the area to be compressed is therefore the outer surface of the distal section of the arm.
- the wearer wears a tourniquet 1 on the sleeve surrounding the injured arm.
- the wearer grasps the flap 64 of the gripping member 8 and away from his injured arm so that the fastener 70 and the second fastener are detached one of the other.
- the wearer grasps the free end portion of the cord 86, accessible from outside the tourniquet 1.
- the bead 86 unwinds out of the orifices 78, 80, 82, which has the effect of not only opening the cavity 84 in which is housed the elastic sleeve 4, defined between the first portion 72 and the second portion 74 of the driving element 6, but also to allow a displacement of the first portion 72 and the second portion 74 along the member, to the area to be knuckle.
- the carrier folds 180 degrees flap 64 to the area to be locked, and pulls the flap 64 and folded towards the area to be locked. With the flap 64 attached to the driving element 6, this traction has the effect of driving the third portion 76 to the area to be locked. During this movement, the third portion 76 flips from its configuration folded around the second portion 74 to an expanded configuration in which it overhangs the area to be locked.
- the first portion 72 of the driving element 6 tilts 180 degrees since its configuration folded towards its deployed configuration, and causes, by leverage, the elastic sleeve 4 resting on the first portion 72 to a splinting position, overlooking the area to be knapped.
- This leverage is advantageous because the elastic sleeve can be moved with a relatively low tensile force. In this way, a user is able to exercise this traction even when injured.
- the lever effect is applied by the first portion 72 of the driving member 6 to any around the stretched elastic sleeve 4 which surrounds it. In this way, the risk of rupture of the elastic sleeve 4 during the tilting of the first portion 72 from its folded position to its deployed position is reduced.
- first portion 72, and more generally the driving element 6, is non-extensible parallel to the axis X enables it to implement a more efficient movement transmission of the gripping element. 8 pulled to the elastic sleeve 4.
- the elastic sleeve 4 is found in its position of rubbing around the area to be knapped. The first portion 72 then surrounds the elastic sleeve 4 between the first portion 72 and the area to be locked.
- the elastic sleeve 4 As the elastic sleeve 4 is no longer maintained in its stretched position, in a state stretched by the support 2, the elastic sleeve 4 retracts freely by elastic return, and thus compresses the area to be locked around it.
- the invention is not limited to the embodiment described above, but may be the subject of many other variants.
- the inner textile element 18 is part of the garment or sewn to it, and that the fastening element of the flap 64 cooperates with a fastening element making part of the garment, for example stitched to it.
- the tourniquet 1 comprises an additional support element 88 for supporting the second fastening element which cooperates with the fastening element 70 of the gripping element 8.
- the support member 88 is in the form of a support strip intended to extend along a sleeve.
- the second fixing element is referenced 90. This second fixing element 90 is fixed on an outer surface of the support element 88.
- the support element 88 is fixed to the support 2, for example via rivets 94.
- the support member 88 also has an inner surface to be oriented towards the handle, and an outer surface opposite to the inner surface, on which the fastening element is arranged.
- the support element also has a plurality of parallel slots 96.
- the slots 96 extend transversely to the X axis around which the support 2 extends.
- an epaulette of clothing can be passed through one of the slots 96 and closed on itself.
- the support strip extends over the proximal portion of the arm, between the shoulder pad and the support 2.
- the flap 64 of the gripping member 8 overhangs the support member 88 and the other fastener arranged on its outer surface.
- the flap 64 is attached to the additional support member, which is advantageous when it is not possible to sew a fastener to the garment.
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR1751317A FR3063004B1 (fr) | 2017-02-17 | 2017-02-17 | Garrot a manchon elastique |
PCT/EP2018/053869 WO2018149958A1 (fr) | 2017-02-17 | 2018-02-16 | Garrot à manchon élastique |
Publications (2)
Publication Number | Publication Date |
---|---|
EP3582699A1 true EP3582699A1 (fr) | 2019-12-25 |
EP3582699B1 EP3582699B1 (fr) | 2020-12-02 |
Family
ID=58501722
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP18704259.3A Active EP3582699B1 (fr) | 2017-02-17 | 2018-02-16 | Garrot à manchon élastique |
Country Status (4)
Country | Link |
---|---|
US (1) | US11185337B2 (fr) |
EP (1) | EP3582699B1 (fr) |
FR (1) | FR3063004B1 (fr) |
WO (1) | WO2018149958A1 (fr) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR3063004B1 (fr) * | 2017-02-17 | 2022-03-11 | Univ Pierre Et Marie Curie Paris 6 | Garrot a manchon elastique |
US11553741B2 (en) * | 2020-07-30 | 2023-01-17 | Jonathan Malchi | Athletic shorts with moisture protection features and readily accessible pockets |
Family Cites Families (21)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US800467A (en) * | 1905-05-09 | 1905-09-26 | Henry Myers | Elastic bandage. |
US814795A (en) * | 1905-09-26 | 1906-03-13 | Henry Myers | Elastic bandage. |
US1992344A (en) * | 1934-02-05 | 1935-02-26 | Alhadate Alejandro | Bandage applying device |
FR858665A (fr) * | 1938-12-21 | 1940-11-30 | Dispositif pour ligaturer la circulation du sang aux bras et aux jambes en cas de danger d'hémorragie | |
US2333237A (en) * | 1942-06-17 | 1943-11-02 | William B Erekson | Surgical device |
US2443115A (en) * | 1946-03-14 | 1948-06-08 | Lucille D Park | Device for drawing on stockings |
US3227335A (en) * | 1963-11-12 | 1966-01-04 | Minnema Diena | Devices for applying stockings or the like |
US3401856A (en) * | 1965-12-28 | 1968-09-17 | Berlin Abe | Hosiery-donning device |
FR2775431B1 (fr) * | 1998-03-02 | 2000-08-04 | Innothera Topic Int | Procede et dispositif pour enfiler sur un membre une orthese compressive tubulaire telle que bas, collant ou chaussette en materiau textile elastique tricote |
US7326227B2 (en) * | 2001-02-28 | 2008-02-05 | Richard G. Dedo | Tourniquet padding |
US6537298B2 (en) * | 2001-02-28 | 2003-03-25 | Richard G. Dedo | Tourniquet padding |
CA2469283C (fr) * | 2001-12-13 | 2012-03-13 | Oneg Hakarmel Ltd. | Dispositif et methode visant evacuer le sang hors d'un membre |
US8465514B1 (en) * | 2006-11-15 | 2013-06-18 | Alliant Techsystems Inc. | Tourniquet system |
US8366739B2 (en) * | 2008-01-30 | 2013-02-05 | Ohk Medical Devices Ltd. | Motion control devices |
US20090209891A1 (en) * | 2008-02-14 | 2009-08-20 | Ohk Medical Devices Ltd. | Pressure controlling devices |
US20100100025A1 (en) * | 2008-10-17 | 2010-04-22 | Ronald Kane | Tourniquet dressing sleeve for digits |
US20120158041A1 (en) * | 2010-12-15 | 2012-06-21 | Richard Gene Craig | Tactical pants |
CA2914346A1 (fr) * | 2013-06-05 | 2014-12-11 | Boston Scientific Scimed, Inc. | Capuchon avec elements de deploiement de bande |
EP3016600A4 (fr) * | 2013-07-02 | 2017-07-19 | OHK Medical Devices, Ltd. | Dispositif d'applicateur et procédé d'utilisation pour garrot d'exsanguination |
US9545259B2 (en) * | 2014-06-02 | 2017-01-17 | Ohk Medical Devices, Ltd. | Method and system for optimization of an exsanguination tourniquet |
FR3063004B1 (fr) * | 2017-02-17 | 2022-03-11 | Univ Pierre Et Marie Curie Paris 6 | Garrot a manchon elastique |
-
2017
- 2017-02-17 FR FR1751317A patent/FR3063004B1/fr active Active
-
2018
- 2018-02-16 WO PCT/EP2018/053869 patent/WO2018149958A1/fr unknown
- 2018-02-16 EP EP18704259.3A patent/EP3582699B1/fr active Active
- 2018-02-16 US US16/486,672 patent/US11185337B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
US20200054345A1 (en) | 2020-02-20 |
US11185337B2 (en) | 2021-11-30 |
FR3063004B1 (fr) | 2022-03-11 |
FR3063004A1 (fr) | 2018-08-24 |
EP3582699B1 (fr) | 2020-12-02 |
WO2018149958A1 (fr) | 2018-08-23 |
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